急性心肌梗死经桡动脉直接介入治疗临床研究进展

被引:13
作者
韩玮
刘惠亮
机构
[1] 武警总医院心内科
关键词
心肌梗死; 桡动脉; 支架; 出血; 血小板聚集抑制剂;
D O I
暂无
中图分类号
R542.22 [];
学科分类号
摘要
<正>近年来随着器械和技术的进步,经桡动脉冠状动脉介入治疗(TRI)广泛开展,国内某些有经验的中心TRI比例占所有PCI的90%以上,多数经股动脉可以完成的复杂冠状动脉病变类型,目前均可经桡动脉完成。TRI具有出血并发症低、患者舒适度高等优点,但在急性心肌梗死(AMI)中是否可以常规应用还存在一些顾虑,尤其是手术可完成性、手术延迟等方面,另外AMI患者一般都应用更强的抗凝、抗血小板药物,出血的风险高于常规择期PCI,众所周知的TRI降低出血并发症的优势在AMI直接PCI中是否更加明显?其降低出血的优势是否能带来真正的临床获益?我们结合最新的临床试验以及临床实践,就上述问题进行阐述。
引用
收藏
页码:1109 / 1111
页数:3
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